Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeannine Katherine Myrvik, LICSW

Individual provider Clinical Social Worker · NPI 1043404775

Jeannine Katherine Myrvik, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2001, 25 years ago. Practices with Minnesota Center for Psychology, LLC, a 16-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone: (651) 241-5618
Fax: (651) 241-7168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15374 (MN)

Record details

NPI number1043404775
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 6, 2007
Last updated in NPPESSeptember 6, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Minnesota Center For Psychology, Llc — 16 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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